Trauma Recovery Hypnosis - Amazon S3 · 2016-07-22 · Trauma Recovery Hypnosis in History Trauma recovery has been an important application of hypnosis and trancework throughout

Trauma Recovery Hypnosis

Timothy L Trujillo

Trauma Recovery Hypnosis Timothy L Trujillo

2 ©2015 Timothy L Trujillo [email protected]

Be bold in your work.

©2015 Timothy L Trujillo, TLT Productions LLC 3601 N Classen Blvd #103 Oklahoma City, Oklahoma 73118 310 392 9663 timothytrujillo.com

All rights reserved. No part of this volume may be reproduced without express permission from

the author.

Reproduction and distribution rights are granted to American Council of Hypnotist Examiners as

an accompaniment to online course.

Important Notice

Many conditions in this domain may be outside the scope of practice for hypnosis without medical or psychological referral. Please become informed and practice according to local and state law.

Definitions

Trauma

1 a : an injury (as a wound) to living tissue caused by an extrinsic agent b : a disordered psychic or behavioral state resulting from severe mental or emotional stress or physical injury c : an emotional upset DSM-V Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the following ways: (1) Directly experiencing the traumatic event(s); (2) witnessing, in person, the event(s) as it occurred to others; (3) learning that the traumatic event(s) occurred to a close family member or close friend – in cases of actual or threatened death of a family member or friend, the event(s) must have been violent or accidental; (4) experiencing repeated or extreme exposure to aversive details of the traumatic event(s) (e.g. first responders collecting human remains; police officers repeatedly exposed to details of child abuse) *Any physical, verbal, emotional, or energetic loss of integrity of the

whole self

Recovery

"act of righting oneself after a blunder, mishap, etc." is from 1520s. 1. an act of recovering. 2. the regaining of or possibility of regaining something lost or taken away. 3. restoration or return to health from sickness. 4. restoration or return to any former and better state or condition. 5. time required for recovering. 6. something that is gained in recovering. 7. an improvement in the economy marking the end of a recession or decline. 8. the regaining of substances in usable form, as from refuse material or waste products. 9. Law. the obtaining of right to something by verdict or judgment of a court of law. 10. Football. an act or instance of recovering a fumble. 11. Fencing. the movement to the position of guard after a lunge. 12. Rowing. a return to a former position for making the next stroke.

http://dictionary.reference.com/browse/recover






Varieties of Trauma

In Utero Harm

Malnourishment Toxic exposure: Tobacco, Alcohol, Drugs, etc. Physical Trauma Surgical Trauma Rejection

Perinatal Trauma

Pre-term underdevelopment Stress Physical distress Deprivation

Childhood Trauma

ACE – Adverse Childhood Experiences Neglect Isolation Verbal Violence Physical Violence Sexual Violation Physical Trauma

Physical Trauma

Abrasion Contusion Laceration Fracture Blunt Force Burn Repetitive Stress Amputation Spinal Cord Injury Complex Regional Pain Syndrome Blindness/Deafness Dental Work

Surgical Trauma Assault Sexual Violation Motor Vehicle Accident Combat Injury Torture Degeneration Pathology Infection Immune Disorder Organ Failure Hospitalization

Timothy L Trujillo Trauma Recovery Hypnosis

©2015 Timothy L Trujillo [email protected] 5

Psycho-Emotional Trauma

Neglect Passive Verbal Assault Direct Verbal Assault Underperformance Isolation Restraint War Dispossession Denial of Suffering Financial Loss

Societal

Death of loved one Suicide Broken Family Relationship Loss of job or position Rejection from “clan” Forced Emigration Displacement Genocide

Severe Trauma Traumatic Distress

Real or perceived risk of death Witnessing violent or untimely death Persistent restrictive conditions (captivity)

Pathological Traumatic Distress (PTSD)

Enduring disruptive thoughts, feelings, and actions Substance abuse Rage Abuse of others



General Adaptation Syndrome Of Hans Selye

In 1956 Dr. Hans Selye defined stress as the “nonspecific response of the body to any demand placed upon it.” By this he stated that it is not the “specific” effect on the individual, but the need to recover to a baseline of function after the stress has been removed. He referred to this need for recovery as adaptation. He stated that this adaptation occurred in three phases, Alarm, Resistance, and Exhaustion. The diagram below illustrates the occurrence of these three phases.

A. Alarm Reaction. The body shows the changes characteristic of the first exposure to a stressor. At the same time, its resistance is diminished and , if the stressor is sufficiently strong (severe burns, extremes of temperature), death may result.

B. Stage of resistance. Resistance ensues if continued exposure to the stressor is compatible with adaptation. The bodily signs characteristic of the alarm reaction have virtually disappeared, and the resistance rises above normal.

C. Stage of exhaustion. Following long-continued exposure to the same stressor, to which the body had become adjusted, eventually adaptation energy is exhausted. The signs of the alarm reaction reappear, but now they are irreversible, and the individual dies.

Normal level of resistance (baseline)

A

A

B

A

C

A



The Physiology Threat or Injury

Autonomic Nervous System

Interpreted environmental cues stimulate either sympathetic or parasympathetic branches of the ANS. These nerve fibers, separate from the Central Nervous System, activate combined organ responses.

Sympathetic responses are commonly referred to as “fight or flight” and involve increased respiration, accelerated heart rate, stimulation of the Adrenal Medulla, and shunting of blood from the extremities through vasoconstriction. During a sympathetic response activity diminishes in the digestive, reproductive, and immune system.

Parasympathetic responses are commonly referred to as the “relaxation response” and involve the slowing of respiration and heart rate, the increase of blood in the extremities through vasodilatation, and the activation of the digestive, reproductive, and immune systems.

Associative Cortex- Hypothalamus-Pituitary-Adrenal-Axis

Interpreted signals in the cerebral cortex initiate the release of neurotransmitters toward the hypothalamus.

The hypothalamus releases Corticotrophin Releasing Factor (CRF) into the pituitary gland. The pituitary releases the Adrenocorticotrophic Hormone (ACHT).

The Adrenal Cortex releases cortisol into the bloodstream, affecting the function of organs of the respiratory, circulatory, digestive and immune systems.

Blood cortisol levels signal the Hypothalamus to inhibit the release of CRF.

Arousal

Stimuli from the external environment are interpreted in the mind and evaluated for their level of burden or threat. During crisis or injury the mind can be completely overwhelmed yet acutely focused.



Trauma, Consciousness, and Time-Space Our existence occurs within a time-space conscious continuum. It is in the nature of human consciousness to map our life timeline. We have a perception of ourselves from early childhood and a projection of ourselves in our older age, from our first breaths and before, and even of taking our last. We are constantly navigating between these two points, plotting our path automatically and intentionally through planning and preparation. We are moving toward the future we are constantly creating from our own dreaming consciousness.

During a traumatic event, an individual becomes disrupted from their time consciousness. They must make rapid reconsiderations, mapping their new timeline, recalibrating their cosmic GPS. Injury is a disruption of one’s normal state of function and flow. Everything is not as it was; the circle has been broken. This “disorientation” is an altered state itself, trance.

This is the first thing to remember and the principle steering concept in all trauma interventions. The injured individual behaves as though he is hypnotized. As such, the individual is more subject to: dissociation, anesthesia, hyperesthesia, amnesia, heightened suggestibility, hallucination, time distortion, kinesthetic delusion, hyper focus and recall, conditioned behavior, etc. At times they may not see a continuation of that timeline, the peril of no survival. The mind may become trapped, frozen in time and unable to map the way forward. It is this state of Critical Distress that can create Pathological Traumatic Distress known clinically as Post-traumatic Stress Disorder. When severe, it can cause organic change known as psychosomatic or somatoform disorders such as palsies and stress cardiomyopathy. We can understand the state of crisis through the dynamics of the standing rapid induction. We experience dis-equilibration, aroused sense of risk and expectancy, and the redirection by the operator. During crisis there is a high degree of plasticity and fixation. Conditions are in flux and are expressed as dynamic ideas, emotions, chemicals, neural networks, environmental interaction, life-path mapping. Through hypnosis, plasticity can be enhanced

and patterns can be transformed and consolidated.

Remember an event from childhood. Recall images all around you. Recall smells and sounds and feelings from the event. Know that not a single atom of your body existed as part of you at that time. Consciousness is something beyond the body.



Trauma Recovery Hypnosis in History Trauma recovery has been an important application of hypnosis and trancework throughout human history. Lodge and shamanic rites helped bridge the visible and invisible world to restore the seemingly lost or broken parts of a person. Perhaps the most noted of these methods is “soul retrieval”, restoring a part of a person that has become lost in time-space. In 1780 Anton Mesmer theorized that Functional Disorders (somatoform) arose in individuals when they experience obstruction in the flow of “fluidum”, a vital cosmic energy that supported health. He discovered that the magnetic influence of the practitioner helped to restore proper flow. In many cases, this restoration resulted in dramatic convulsive movement called “Cathartic Healing Crisis”. Modern science frames this action as the release of energy “frozen” within the mind-body. In 1862 Jean Charcot, working at the Salpetriere Hospital in Paris, began treating women suffering from convulsion. He discovered that through hypnosis he could actually manifest the symptoms of epileptic seizure, including amnesia, and paralysis. He postulated that such conditions could be created through hysterical causes such as psychic trauma and expressed the existence of a "fixed idea" as the root of neurosis. He discovered that in traumatic or hysterical cases he could use hypnosis to take a person back through time to the onset of the trauma. By allowing the individual to talk about the experience in hypnosis, he found that the hysterical symptoms would often be released. He called his method "The Talking Cure." This work continued to influence such investigators as Bernheim, Leibealt, and Janet, who recognized dissociation as a factor in both hypnosis and trauma. Through the case history of Anna O., Bruer and Freud found that by systematically taking the patient back through time to the first occurrence of symptoms from a traumatic event, a cure could be affected. In addition to its continued use in both medical and psychological trauma recovery, hypnotherapy has been employed since the First World War as a means to help desensitize and restore individuals who have been greatly injured psychologically by war. Known as Shell Shock, Battle Fatigue, and currently Combat Stress or Combat Related Post-Traumatic Stress Disorder, hypnosis remains a stand-out in cognitive or mind-body interventions.



Trauma incidence in clinical hypnosis practice Anxiety & Phobia Nail biting Bed-wetting Behavioral Issues: Lying, Stealing, Schoolwork noncompliance Disruptive behavior Athletic Performance issues Smoking Substance Recovery Weight Management Pain Management Chronic Health Management Grief Palliative Care

Noted presentations of underlying trauma Chronic Pain Immune Disorders Compulsive Behavior Sleep Disturbance Agitation Defiance Distraction Helplessness Noncompliance Hyper vigilance Gabbiness Nightmares



The Principles of Wound Healing Wound healing follows a well-defined cycle. From the moment of injury, an automatic molecular-cellular reaction occurs. This cycle may be applied, to some degree, toward any injury an individual experiences. The nature of this healing cycle is influenced by external forces or pathogens and internal nutritive capacity.

Phase 1: Hemostasis/Inflammatory

Capillaries dilate and platelets form a clot to stop bleeding. Released growth factors bring neutrophils and macrophages which fight pathogens and clean disrupted area.

Phase 2: Proliferative

Fibroblasts produce collagen, providing scaffold-like structure. New capillaries are developed to support rebuilding. New cells develop to seal the wound.

Phase 3: Remodeling

Collagen production levels off and strengthening, contraction, and reduced variations in color occur.

Recovery/Adaptation

Skin wounds recover to approximately 80% of pre-injury strength. Bone fractures, if properly treated can recover to 100% of pre-injury condition, though it may take years. Muscle tissue can recover to a strength/condition beyond the pre-trauma stage if properly nurtured. This is the physiology of body-building. In some cases, such as amputation or organ loss, full recovery is unachievable and adaptations such as prostheses, transplant, or lifestyle changes are necessary. Adaptations are also commonly needed during recovery, such as splints, immobilization, or limited activity, etc. Maladaptations may also occur in both physical and emotional injuries. This may lead to secondary or enduring primary trauma.



Spheres of Trauma & Recovery

Inflammatory

Proliferative

Remodeling

WHOLE

NESS Injury

Hemostasis

Adaptation

BODY

MIND

SPIRIT

SOCIETY

COSMOS



Recovery Strategies

1. Assess client through interview and observation

2. Educate about mind-body relationship and demonstrate through testing

3. Develop body awareness through breath work grounding/centering, and Yoga Nidra

4. Address presenting complaints

5. Structure hypnotic conditioning and teach self-hypnosis

6. Strengthen ego and sense of self-capability

7. Train in bio-energetics and other self-care tools

8. Uncover and resolve conflicts

9. Support bereavement

10. Support adaptation and integration

11. Foster resilience

12. Formulate long-term strategies



Educate about mind-body relationship and demonstrate through testing

Hypnotic Suggestibility testing allows both the assessment of response manner in the client and the opportunity to educate about mind-body interactions.

Chair Test

Close your eyes and imagine a chair. Keeping your eyes closed, describe the chair to me.

If well-described, with color and form, give preference to visual models If “comfortable” or “soft”, give preference to sound and emotion models including music If rocking chair or described with hand movements, give preference to physical, action, and hands-on models

Fingers Together

Hold your dominant hand about two feet in front of your face in an backward peace sign like this (demonstrate the placement of the hand) focus your attention right on the fingertips, right onto the swirls in your fingerprints. Now, as you continue to focus your attention on your fingertips, bring your fingers together and press them firmly together. Now I want you to imagine that before you brought those fingers together, you had applied a little bit of super glue to the inside surfaces of those fingers so that now those fingers are bonded tightly together. Glued so tightly together, in fact, that if you were to try to bring them apart, you'd find that the more you tried to bring them apart the tighter they become glued together.

Now try to pull them apart and find them glued together.

(if the fingers remain together)

Very good. Now in a moment I am going to snap my fingers, and when I do, the glue will release and the fingers will come apart. (snap) (move on)

(if the fingers at first do not remain together)

Very good. (move on)



Lemon test

I want you to imagine that on the table here I have a basket full of fruit. In the basket I have a nice red juicy apple. (pointing to imaginary fruit) …and here an orange orange, and here a yellow banana, and here a cluster of grapes… would they be green grapes or red grapes? (allow response) and right here in the middle I have a nice yellow juicy lemon. I'm going to take the lemon from the basket now, and with my imaginary pocket knife I’m going to cut the lemon in two, taking care to not dribble any of the juice on myself. (play it up) And now I’m just going to take a nice healthy slog off the lemon just like this (pretend to suck on the lemon). Now as I do, I want you to tell me if you notice any response to observing me take a slog off the lemon. (observe and discuss response and move on)

Pocket watch

A pendulum can be created with any weight attached to the end of eight to ten inches of string. Many styles of pendulums are available commercially, most featuring some type of crystal or cut glass at the end of a chain. The pocket watch is a classic pendulum device used in hypnotism and my personal choice for use. When working with a pendulum, have the client hold the arm outstretched and allow the pendulum to hang directly in front of the eyes. Have client use dominant hand. Hold this pendulum directly in front of you now, arm extended yet relaxed. Keep your eyes focused on the object (crystal, watch, etc.) And in your mind, begin to visualize that object moving either toward you and away from you or right and left, like the pendulum of a grandfather clock. Make no conscious effort to move the object, but in your mind, visualize that object moving right and left like the pendulum of a clock, or toward you and away from you like a child, swinging on a swing. (observe movement) Now allow it to swing higher and higher and higher. Now allow the object to begin to move in a circular motion, either clockwise or counter-clockwise. (observe movement) Allow that motion to grow wider and wider and wider. Now allow the object to come back to rest again.



Develop Body Awareness through Breathwork, grounding/centering, and Yoga Nidra

Breathwork

Focal Breathing

Focus attention on your breathing. Just be present to the air entering your lungs and exiting your lungs. Experience each breath. Every time you exhale, your body naturally relaxes. Tune in to that steady relaxation and allow every exhalation to help you relax even more.

Color Breathing

Imagine a pleasant color attached to your breathing, so that each time you inhale you see a color that causes you to feel calm and strong. Each time you exhale see a color that gives you a sense of release.

Kidney Breathing

As you inhale, imagine that you are breathing from your kidneys. Draw the breath deeply from your low back, pulling the air into your lungs. Release from the whole body as you exhale.

Heaven and Earth Breathing

As you exhale, feel your body relax as the energy flows to the lower part of your body. Feel it resting and settling in your lower abdomen, causing you to feel settled. This is the energy of earth, a feeling of grounded, rooted, and secured. Each time you exhale, release and embrace this connection. As you inhale, feel your body lifting. Experience the energy as it rises to your chest, forehead and crown. This is the energy of earth, a feeling of being drawn upward and strengthened. Each time you inhale, rise and embrace this connection. Allow every cycle of the breath to repeat this effect, connecting with earth and heaven.

Every Pore Breathing

Imagine exhaling and inhaling through every pore on your body.



Grounding/Centering

When client presents with dissociation patterns (e.g., disorientation,

fixation, odd body sensations, etc.), the first object is to bring them “back

to earth and into the here and now.” Breathwork is very helpful with this,

but metaphors and physical signals also help to anchor and calm the

body.

Tree

Imagine yourself as a mighty tree with roots reaching deep into the earth, gathering nutrients and keeping you strong and secure. Imagine your trunk, sturdy and protected with rich bark. Imagine your arms as branches, reaching high into the sky, gathering the power of light and air, giving safety to all who take refuge in their embrace.

Ballasting (stones)

Stones can be held in the hands or placed directly on the body. Beneficial positions on the body are near the navel (client can hold in place), center of chest and forehead. Stones given to carry in the pocket or place at a suitable place are also helpful. A blanket can also be used as a ballasting agent.

Donut pendant

Stone donut pendants are a remarkable instrument for anchoring outcome-associated ideas. They may also serve as a post-hypnotic trigger and “touchstone”. Additionally, they work well as a pendulum and are invaluable for teaching children empowerment and stillness.

Hands-on Hypnosis

From the gentle touch to arm or forehead, to full body treatment with energetic methods, hands-on techniques work well to secure physical consciousness, discharge physical stress, and anchor hypnotic suggestion. (be certain to practice touch methods according to law)



Yoga Nidra

Sitting comfortably, take a deep breath in, exhale, and let your eyes close down. With your eyes closed now, begin to reconstruct in your imagination the last thing you saw before you closed your eyes down. Begin with the wall that was before you. Visualize that wall now, giving special attention to color, texture, objects on the wall, and objects in front of the wall. Now in your imagination, begin to reconstruct the wall behind you. You may need to use your memory now to recall that wall as it appeared as you entered the room. Again, give special attention to color, texture, objects on the wall, and objects in front of the wall. And now the side walls, again, special attention to color, texture, objects on the wall and objects in front of the wall. Now in your imagination, connect these four walls together, giving special attention to the corners where the walls meet. Now add to this image the ceiling and the floor, again giving special attention to color, texture, objects on the wall and objects in front of the wall. Now add to this visualization any other objects within the room, completely reconstructing the room in your imagination. Tune in to sounds within the room and attach images to these sounds within your mind. Now allow your imagination to move outside this room, out into the surrounding rooms and out onto the street. Become aware of any sounds, and in your imagination create images to define those sounds. Now allow your imagination to move out, out to beyond the local area, throughout the city. You may in your imagination hear the sounds of the city and develop images of people going here and there or even pick up the scents of the city. Allow your imagination to move out beyond the city, all the way to the beach, or out beyond the hills to the desert and the mountains and beyond across the continent, all the way to the eastern coast. Allow your imagination to move out beyond the coasts now, over the seas to some faraway place, perhaps a remote island or some other special place. In your imagination now visualize this place, becoming aware of not only sights, but also sounds and even scents and sensibilities. I'm just going to give you a few moments to enjoy and absorb the pleasant qualities of being in this place. There may be some gift or treasure that you desire to retrieve from this place. Now in your mind begin to return again from this distant place, back across the waters to these shores. Back across the land and mountains to this area, back into this building and back into this room. Allow your awareness to move into your right foot, as though all perception were being experienced through that right foot. Seeing, hearing, tasting, smelling, knowing through that right foot. Allow your awareness now to move into your left hand, all perception through the left hand. And from the left hand into the right hand. All seeing, hearing, tasting, smelling, and knowing through the right hand. And now allow that awareness to move into your left foot, again, all perception through the left foot. Now become aware of the air entering your lungs and imagine that you are one molecule of oxygen, entering the lungs and there intermingling with the blood to be pumped through the heart and out through the blood vessels to some distance tissue or cell. Imagine being exchanged there for a molecule of carbon dioxide, to be carried back through the blood to the lungs and expelled with the next exhalation. Now allow your awareness to return to the sensory organs of the head, the ears for hearing, the nose for smelling, the mouth for tasting and the eyes for seeing. And when you are ready, allow your eyelids to open and return again to this place.



Address Presenting Complaints

Pain

Faucets

Imagine that you have tiny faucets attached to your hands and feet, perhaps even to each finger and each toe. In your mind visualize those faucets being opened wide and any tension or discomfort flowing easily out, just like water flowing from an open faucet. Visualize and experience that flow becoming eventually just a trickle and then just a drip as every muscle and every nerve relaxes, releases, and just lets go. Now in your mind attach a faucet to any other place on the body that you feel you could benefit from greater relaxation or comfort. Visualize that faucet being opened to allow any tension or discomfort to flow easily out. Visualize and experience that flow becoming a trickle and then a drip, as comfort moves through every muscle and every nerve.

Control Knob

Imagine in your mind that you have a control panel, or perhaps control booth. Imagine that in the control booth you have a console of different knobs that control different functions in the body. Now, one knob may control relaxation in the arms or legs, and one knob may control the discomfort in the ____. I want you to visualize that knob now, and when you can see that knob, allow the index finger on your right hand to rise and fall. Allow response. Now imagine that on that knob ten would be the greatest level of discomfort and zero would be the most comfortable level. Look at that knob now and tell me what number it is on. Allow response. Now in your imagination, I want you to reach out and turn the knob up to ____(add one). When the sensation in the ____ agrees with the knob, as being on ____, allow the right index finger to rise and fall. Allow response. Now reach out and turn that knob down to _____ (subtract 2 or 3). When the sensation in the _____ agrees with the knob, as being on _____, allow the right index finger to rise and fall. Allow response now turn that knob all the way to zero. When the knob is on zero, allow the index finger to rise and fall allow response when the sensation in the _____ agrees with the knob as being on zero, let the right index finger rise and fall. Allow response Allow time for responses, sometimes more than a minute may go by without a signal. Repeat instructions if necessary. If client cannot bring discomfort to zero, ask if it is ok for it to remain at that level. Give post-hypnotic suggestion for use of method later.



Arm Levitation

As you lie comfortably drifting deeper and deeper into trance, become aware of a sense of lightness moving into one of your hands and then your entire arm. It may be your right hand or it may be your left. As you begin to sense that lightness, imagine that every exhalation is delivering helium into that entire arm, causing it to begin to rise like a helium balloon. You may even count silently from one to twenty, allowing the hand and arm to gently rise with each number. Take as much time as you like, allowing the arm to rise and drift, eventually beginning to settle, then come to rest on your thigh or abdomen, causing you to settle much deeper into trance as it does.

Bruising & Swelling

Give suggestions for skin color returning to its perfect hue, fluids released and area returned to normal size.

Mobility

Conduct visual rehearsals, use models and metaphors for imprinting capability such as athletes, superheroes, or animals.

Sleep Disturbances

Each night and every night as you rest your head gently upon your pillow, you drift deeply and serenely into deep restorative sleep. You resolve every issue of concern in your dream workshop and awaken refreshed, renewed and ready for a wonderful day.

Gut & Bowel Distress

The gut is a one way road. Imagine a pathway moving through every bend and turn with fluidity, strength, and calm.

Sensitivities

Use systematic desensitization, flooding, etc. Decouple stimulus from associated distress.



The Five-Minute Miracle

Close your eyes and focus on your breathing. Every time you exhale, you naturally relax. Tune into that relaxation and allow yourself to relax more with each exhalation. With each breath you may allow a pleasant color to give you a sense of strength and calm. Allow all the sounds around you, and every thought you have, cause you to relax more. Imagine that you have imaginary faucets attached to your hands and feet. Visualize or imagine those faucets opening wide to allow any tension or discomfort to flow easily out of your body. In your mind visualize, and in your body experience this flow becoming eventually a trickle, and then just a drip. You can also imagine a faucet attached at any location on your body that you feel you would benefit from greater relaxation or comfort now. As you continue to release, just allow every muscle and every nerve to become completely relaxed, comfortable, and at ease. (pause briefly) As you continue to relax, allow a light, airy sensation to flow through you, causing you to feel totally weightless. Allow this sensation to cause you to feel as though you are floating upward, higher and higher, safely tethered, like a helium balloon or kite attached to a long string. As you drift, allow this sensation to cause you to release all cares, concerns, or discomforts. Allow yourself to drift in your mind to a very pleasant place, a place where you feel safe, secure, comfortable, and in complete control. Allow yourself to experience these qualities of safety, security, and comfort in every area of your life. (pause) Now I am going to count from twenty to one. As I do, allow your comfort and relaxation to double with each number. As I reach the number one, allow yourself to settle restfully, right where you are. Allow yourself to remain relaxed and perfectly comfortable from head to toe. 20, 19, 18, now drifting and settling; 17, 16, 15, so relaxed and so at ease; 14, 13, 12, 11, letting calm comfort be yours now; 10, 9, 8…7, 6, 5…4, 3, 2, 1; now let yourself just settle perfectly. (Allow a few moments of silence) Now I am going to count from one to five; as I do, allow yourself to return to full wakefulness. Allow those faucets now to fill you with strength, confidence and well-being and on the number five, allow your eyes to open. One, this calm comfort is always yours. Two, you express it in every area of your life. Three, feel strength moving through you, feel confident and more alert. Four, your eyes now feel as though they have been rinsed in cool spring waters that are refreshing every cell in your body. Five, let your eyelids open, take a deep breath, and feel a peaceful calm throughout your entire body now.



Structure Hypnotic Conditioning and Teach Self Hypnosis

If client is experiencing physical discomfort, incorporate release suggestions and cultivate deep trance. Demonstrate hypnotic phenomena that anchor pre-suggestion and recovery models. Reinforce sense of strength and capability. If client is experiencing dissociative patterns, use strong anchoring and ballasting techniques, body sensation and engagement in action oriented suggestions and processes. Teach self-hypnosis in order to give control of trance/states. Train in waking hypnotic techniques. Create a well-defined outcome-based plan and experience. Guide client through phases of completion and empowerment through achievement.

Ego Strengthening

There is no other person on this planet just like you. There never has been and there never will be. Even if you were to travel to the farthest end of the universe, you may, by some miracle of nature, find another who looked just like you. That person would not be you, however, for that person would not have had the experiences that have helped to shape you and make you the person you are today. I am referring not only to the triumphs that have uplifted you, but also to the challenges, that by your overcoming have made more of you, challenges like those you are in the midst of overcoming now. This is what sets you apart and makes you unique. Because you are unique, like no other life that ever has or ever will exist, every life that you affect is affected like no other, continually influencing the human experience because you are an individual, unique, gift of life.

Stardust Meditation

Your body is composed of 100 trillion cells. Each of these cells is composed of innumerable atoms. In fact, you have more atoms in your body than there are stars in the universe. Each of these atoms was forged in the stars that have developed over billions of years, eventually reaching supernova and scattering those atoms across space and time to eventually become you. You are made from this dust of ancient stars. Take a moment to connect with the trillions of stars whose remnants are a part of you. Let them shine and empower the constellation that is you.



Bliss regression

There's a feeling that you have, a feeling of confidence and strength, a feeling of perfect capability. I'm going to count from 1 up to 10, and as I do I want you to allow this feeling of confidence, strength and capability to grow stronger and stronger. In fact, by the number 10 or before, you'll feel this feeling of confidence, strength and capability moving through every cell in your body. On 1, there's a feeling that you have, that you are able to achieve goals that you set for yourself, a feeling of confidence that you possess. On 2, now that feeling is growing stronger and stronger. In fact, on the numbers 3, 4, and 5, now that feeling of confidence is growing stronger and stronger within you. On 6 and 7, now that feeling is surging through you, coursing through every tisssue and every cell. On the number 8, now let the feeling double, even quadruple as on 9 it washes over you like a tidal wave, and on the number 10, from head to toe you feel immersed in this wonderful feeling of confidence, strength, and capability. Now I’m going to count from 10 down to 1, and as I do, I want you to go to a time in your life that has to do with this very same feeling, a feeling of confidence and capability. 10, 9, 8, now you're drifting back. 7, 6, 5, your arms and legs are growing smaller as you go to another time that has to do with this same feeling, feelings of confidence and strength. 4, 3, 2, 1, tell me where you are now, inside our outside? (allow response). Ok, you're ___________, is it daytime or nightime? (allow response). Ok, you're ________ and it’s ________, are you alone or is somebody with you? (allow response) Now give me a report, tell me what's happening. (allow client to give report, then tie in to suggestions and return) Alright, now in a moment I’m going to count from 1 to 5 and as I do you will return to the present time (_______), bringing this same feeling of confidence and strength back with you. You'll always recall your ability to experience this feeling, and anytime you use the word “confidence” spoken aloud or silently from this day forward, you'll be reminded of your ability to recall and use this capability instantly. In fact, you may visualize yourself right now at some time in the future, recalling and utilizing this special ability. (give a moment) Alright, 1, 2, 3, returning again to this time (give date and time) 4, bringing all of your sensibilities of strength and confidence with you, and number 5, here now, in complete possession of your perfect strength. (awaken or continue to tie in sensibilities to other events through suggestion or interview.)



Metaphors

Healing Cocoon

As you lie comfortably now, imagine that you are beginning to be wrapped up in a wondrous blanket of comfort and healing. Allow this blanket to be soft and pliable, protective, but gentle enough to breathe through. See yourself now being wrapped up in this blanket, this cocoon of healing. Now as you lie within this protective casing, tune into your breathing, your heartbeat, the very bloods cells as they course through your body. And imagine that within this healing space, a change has begun to take place. Now your cells are being transformed and made whole again. Your creative intelligence is restoring all functions to perfect order. You see yourself, in this change, responding in every fiber of your being. And as this wondrous transformation continues to take place, imagine yourself moving out from your cocoon casing, moving into a new world, a new experience of comfort and perfect health and well-being.

I AM

Imagine a chalkboard and at its rail, a piece of chalk and an eraser. Pick up the piece of chalk and draw an animal on the board. Allow the drawn animal to become animated and watch the movement and nature of the animal. Observe the way the feet touch the ground, the way the hip moves, the alignment of the spine and posture of gut and chest. Observe the shoulder and movement of the arms or wings. Follow the neck to the movement of the head. Observe the placement of the sensory organs; ears, nose, mouth, eyes. Look closer at the eyes. Look into the eyes. Look closer and look out of the eyes. See as this animal sees, smell as it smells, hear as it hears. Allow yourself to take movement as the animal. Crawl, run, swim, or fly. Follow your adventure in the animal form. Know its ways. Allow your awareness to now return to your own body, your hands and feet and head. See into the eyes of the animal. Remember your experience and learning from this animal. Take a few moments to imagine incorporating this animal nature into your life. As you are ready, allow yourself to return to full wakefulness and let your eyes open as they will.



Self Hypnosis Instructions

1. Protect yourself from interruptions for 5-30 minutes. Turn down the phone ringer and lock the door. 2. Sit or lie in a comfortable place. 3. Find a point to focus on within your line of vision. 4. Become aware of your breathing. Begin to visualize the air entering and exiting your lungs. 5. Take a deep breath in, let it all out and say to yourself: relax now. Take a second, even deeper breath, filling the lungs and let it all out saying: relax now. Now take a third, even deeper breath, filling your entire body to the tips of your toes and fingers, then let it all out with all tension, cares and woes, saying: relax now. 6. Continue breathing naturally now as you count slowly on each exhalation from 5 to 1 like this: (exhale)FIVE--eyelids growing heavy, droopy, drowsy and sleepy (exhale)FOUR--those heavy, droopy, drowsy eyes want to close right down (exhale)THREE--the next time I blink, that’s hypnosis coming on (exhale)TWO--every breath carrying me deeper and deeper as those heavy eyes close right down (exhale)ONE--close them, close them, close them, let go completely now and SLEEP

(if you want to go deeper, start at 5 and count again. repeat as necessary)

7. Now just continue to drift into hypnosis, every breath carrying you deeper and deeper into blissful slumber, every thought causing you to relax more and more. 8. Now in this pleasant state of relaxation, you can talk with yourself, becoming more and more aware as every breath fills your lungs with life-giving oxygen, enriching your blood and nourishing every tissue and every cell of your body, removing all waste gases and expelling them from your body with every exhalation. 9. You can now address any other issues you desire, be it pain which slowly slips away, or any anxiety which can easily dissolve, or any habit which you would like to put away. In this relaxing place you can simply carry on the regular form of internal dialogue which you are comfortable with, keeping all suggestions positive and loving in nature. 10. When you are ready to return to full awareness, count from 1 to 5 like this: (inhale)ONE--slowly, gently, easily and calmly, I am returning to full awareness once again (inhale)TWO--every muscle and nerve is relaxed and I feel wonderfully good

(inhale)THREE-- from head to toe I’m feeling perfect in every way, physically perfect, mentally perfect, emotionally calm and serene (inhale)FOUR--my eyes begin to grow sparkling clear, as if bathed in cool running spring water

(inhale)FIVE--eyelids open now, fully aware, refreshed, renewed and invigorated 11. Take a deep breath now, stretch and smile.

(These instructions are meant as a guideline. As you grow comfortable with the process, feel free to substitute your

own verbiage.)



Train in bio-energetics and other self-care tools

Energy Induction & Self-treatment

Sit comfortably with your feet on the ground and hands together in front of your chest in prayer position. Close your eyes. Squint your eyes tightly and relax them. Observe the change in the quality of light observed on the backs of your eyelids. The light that you observe on your eyelids is energy, light energy, which is both particle and wave. Those tiny photons that are touching your eyelids are also touching your eyebrows, your forehead, your cheeks, jaw, and your entire body. Take a moment to experience the light with these other parts. Now take a moment and listen. Hear the sounds around you. Listen for sounds as far away as you can hear them, experiencing each individual sound. The sound you hear is energy, waves of sound moving through the air to enter the ear, the hearing canal, vibrate the ear drum, and send nerve signals to the brain that are interpreted and understood. Those sound waves that are vibrating the eardrum are also touching the cheekbone, the forehead, the tip of your nose, and your entire body. Take a moment to experience each sound with your entire being.

Allow yourself now to absorb this energy and other energy around you, some as heat or coolness. Allow all this energy to flow through you and into the palms of your hands. In your mind visualize or imagine this energy continuing to flow and swell between your hands, causing your palms to begin to separate as the energy expands between them. Observe the impact your breathing has on this energy. Is it greater as you inhale, or as you exhale? Simply observe and allow the ball of energy to continue expanding, growing brighter and brighter and stronger and stronger. Allow this energy to continue to expand until it eventually causes the heels of your palms, the thumbs, and even the fingertips to separate and drift apart. (allow time and observe)

As your hands now completely separate, bring them back together very slightly until you feel a little resistance between the hands, like a pillow of air or a magnetic field. Now draw them apart a little more and back together again until you feel the energy, continuing to draw the hands outward and inward, in a way milking the energy into a greater and greater force. See how far you can separate the hands and still feel the resistance.

Now move those hands up toward your face and turn the palms toward your face until you can feel the same field around your face. Work with the energy around the face, back and forth, according to how it feels.

Now move your hand down across and over the throat area, sending healing energy to your thyroid and voice mechanism. Allow your hands to move down over your heart and solar plexus, both giving and receiving energy in these areas. As you are comfortable, allow your hands to simply come to rest wherever they need to, allowing the energy to continue to flow.



The Coué Method

Tie twenty knots in a string or string twenty beads. Holding each knot or bead, while sitting comfortably with eyes closed, repeat the following silently or aloud:

“Every day in every way, I am better and better.”

This method may also be used touching thumb and fingers together successively from pinky to index. It can also be attached to other specific outcomes such as cell counts for immune condition management.

Gassho Meditation (Mindfulness)

Sitting in a comfortable position, bring your hands together, palm-to-palm at your chest. Close your eyes. Press the tips of your middle fingers together. As you sit, simply listen to the sounds around you. Let your thoughts flow and observe what you are thinking about. At any time that you find yourself drifting far from awareness of yourself sitting, press the fingertips together again. Practice for five to thirty minutes daily.

Variations: Sit with hands in lap, pressing thumb to finger. Sit with eyes open.

Gratitude/Compassion Meditation

Sit comfortably and close eyes. Think of all the gifts and talents you possess and express a sense of thankfulness. Think of people in your life. Think of how they enrich your life and good experiences you may have had with them. Express thankfulness for good friends and good times. Think of special people in your life and think of the fondness you have for them. Hold a feeling of dearness and love for them, perhaps even speaking their name silently in your thoughts. Think of various people in your community and throughout the world. Feel compassion and concern for them individually and collectively. Think of those who have annoyed or wronged you. Hold the same compassionate feelings toward them.



Seven Direction Meditation

As you exhale, close your eyes and focus on the ground beneath you. This

is the domain of earth, the source of all, the nurturing mother of our

being. Connect with this earth energy each time you exhale and allow

yourself to feel rooted and nurtured.

Each time you inhale allow your focus to move upward, to the realm

above you, the domain of sky or heaven. This brings the energy of

uplifting and aspiration. Each time you inhale, allow yourself to be

drawn upward by the expansive sky above you.

To the east, or your right, is the direction of the rising sun. This is the

domain of all new beginnings, of all promise and expectations. Allow the

energy of arrival and opportunity to come to you now.

To the South or behind you is the direction of the shining sun, the source

of strength and power. Allow this energy of the south to empower you

now.

To the West is the domain of the setting Sun, the land of completion, of

letting go and releasing at the end of each day. Allow this energy now to

help you to release and be free of all that no longer serves you.

To the North is the direction of the Guiding Star, the Northern Lights, the

domain of illumination. Allow the energy of guidance and direction to

give you the confidence to know your way.

Allow all of the energies, the earth below supporting, the sky above

uplifting, the east bringing new beginnings, the south strengthening and

supporting, the west allowing completion and release, and the north

guiding your way to now all radiate from and return to the seventh

direction, the center, which is you.



Color Chakra Ladder/massage

The chakras, according to East Indian tradition, are a series of energy centers spaced at intervals along the central meridian of the human body. Each chakra has its own function and characteristics. One of those characteristics is the vibrational quality of color. A directed meditation to focus color in the chakras has a wonderful balancing effect on an individual. Simply call out the chakra or zone and ask the client to visualize the relative color in that area. To calm, direct from the crown to root. To stimulate, direct from root to crown. The acronyms will help you to remember the colors in their order.

Crown to toe: VIBGYOR

Toe to crown: ROYGBIV

Crown (Sahastrara) top of head ....... Violet

Third eye (Ajna) center of forehead Indigo

Throat (Visuddha) throat ................... Blue

Heart (Anahata) center of chest ........ Green

Solar Plexus (Manipura) upper abdomen Yellow

Navel (Svadhisthana) just below belly button Orange

Root (Muladhara) base of torso and soles of feet Red

Rainbow Meditation

All of these colors are not separate from one another, but are individual elements of the spectrum of visible light, like the colors of the rainbow. Imagine, then, that these colors and energy centers are joined as one force moving through your entire life, giving hope and promise and carrying you to your treasure, your pot of gold, you.



Uncover and resolve conflicts

Hypnoanalysis

It may, at times, serve the client to have direct, inter-trance, guidance, particularly when enduring conflict, maladaptation, or personal incapacity remain.

Rambling Metaphor

Trail

You are driving down the road; you pull to the side and see a path beside a tree. You begin walking down the pathway; tell me what you are experiencing.

Basement

You enter an elevator and take it to the basement. As you reach the basement the elevator door opens and you walk out. Give me a report, what are you observing?

The Transforming Therapy of Gil Boyne

Identify and intensify vexing emotion, regress to events associated with feeling. Gain report and use conflict resolution/dialoguing techniques. Integrate resolution into timeline consciousness.



The Gift of Life

Imagine now that you are in a very pleasant place. Allow yourself to become aware of not only images, but also sounds, scents, and sensibilities. Allow every positive and beneficial feeling in this place to be yours right now. Experience these feelings in both body and mind.

Allow yourself now to go to another place. Allow yourself to go back in time to a clinic, hospital, or other place where you are about to be given information about a condition in your body. In a moment, an individual will give you information about this status. As they do, allow yourself to become aware of every thought and feeling you are experiencing. As the individual gives you this information, allow the index finger on your right hand to rise and fall. (await response).

Now become aware of what you are thinking and feeling at this time.

(if in private session, interview individual about their thoughts at this time)

Now allow yourself to begin to move forward in time from that date to this date (recite date). As you move forward in time, become aware of every positive experience in your life. Become aware of every sunrise, every sunset. Become aware of every moment of laughter with friends. Become aware of every experience of growth that you have had, even coming here and learning these techniques. As you move through time, experiencing these moments, allow them all to be bundled together into a beautiful package. Allow a beautiful colored ribbon to be placed around that package. When you arrive at this date, simply allow the index finger on your right hand to rise and fall (await response).

Now allow yourself to go back in time to the clinic or office, and allow this beautiful package to be carried back with you, resting in your lap. In a moment, an individual will give you information about a condition in your body. As that occurs, allow the ribbon on the package you are holding to be released, and allow every wonderful experience ahead of you to enter your awareness. As this occurs, allow the index finger on your right hand to rise and fall. (await response).

(If in private session, interview individual about experience within the trance, the post-hypnotically)



Support Bereavement

During initial bereavement, only calming, quieting and social customs of grieving are recommended. These rituals, such as funerary and shrines, help transition relationships. If suffering endures after time (months), it may be necessary to assist closure and transformation.

Saying goodbye

I want you in your mind to allow yourself to go to a special place where you can have a final conversation with _________. Perhaps it is a place where you enjoyed one another's company before. Now in a moment ____________ is going to go away, so I want you to speak to _______ and let him/her know what is in your heart. How would you address ___________, would you say dad/grandpa/grandma etc. (Allow client to respond) Say _client's remarks I want to tell you something and then tell him/her how you feel. (Allow client to speak to loved one until an appropriate time and the speak to client) Now I want you to allow your voice to become the voice of _________, let your mouth speak for him/her. Client's name says "repeating client's comments" . How do you respond to him/her? (allow dialogue to continue until closure is achieved. Facilitate as necessary. Then bring to good-bye.) Alright now __________ has got to go, so it's time to say good-bye You can come again to this place, or you can visit in dreams. Allow ________ to always be with you. (Allow client to say good-byes, then direct the loved one away by turning and walking or however the client may envision them. Some recommend having the loved one riding away on a boat or train or simply drifting away).



Support Adaptation and Integration

Reassert purpose

Identify personal mission. Help develop strategies for engagement or re-engagement in fulfillment. Identify previous achievements and incorporate sense of success into expectation of future endeavors. If significant and enduring adaptations have occurred, such as prosthesis or other adaptive tools, relocation, loss of family/clan members, or introduction to new social groups and settings, structure models and processes that help the client experience the integration and successful enrichment or restoration of function or relationship.

Discern and apply meaningfulness

Help client identify how changed circumstance or condition may provide opportunity for greater drive, understanding, or scope of life purpose. This is the consciousness that transforms loss into gain.

Logotherapy

Developed and popularized by Victor Frankl, Logotherapy is rooted in three principles: free will to shape one’s life; freedom to seek goals and purpose; realization of meaning as an objective reality. This philosophy was demonstrated through his book Man’s Search for Meaning, which etched the saying “He who has a strong enough why, can endure any how.”

Post-traumatic Growth

A recently developed model, Post-traumatic growth frames trauma as a catalyst for development. Beyond simple loss and restoration, this concept focuses on the ability of some individuals to find motivation in challenge and gain by it. It is the psychological equivalent of body-building.



Foster Resilience

Resilience has been defined as “the capacity of a system, enterprise, or a

person to maintain its core purpose and integrity in the face of

dramatically changed circumstances.” By helping an individual overcome

a single symptom, episode, or circumstance, we reinforce their ability to

do the same later, even preemptively by establishing pattern and

expectation.

Through the development of both long-term strategies for coping and

self-care habits, recurrent challenges can be less impacting. The

cultivation of resilience can inoculate from distress.

Employ models of natural recovery, cycles, or past experiences of injury

and subsequent restoration to imprint expectancy of positive outcome.

Hypnotic methods that include experiences of challenge and triumph,

even as role-playing, will help to establish conditioned responses to face

challenge.

In the long term, this is the most significant gift we can give to a client

who has experienced any trauma.

Formulate Long Term Strategies Remember that your work is primarily to strengthen, support and guide

through resolution of limiting conflicts.

True healing occurs over time. Integration of therapeutic work often takes

place over months and years as the client applies their learning and

conditioning to ongoing recovery. Indeed, true recovery is not realized

until the individual can return to past activities or relationships without

distress.

Scripting through suggestion and hypnotic progression with rehearsal

help to anchor expected outcome and condition responses to future

events.



Tao of the Duck

Imagine now that you are in a natural environment, perhaps at a park or in the country. Become aware of trees and green grasses all around you. Allow the fresh air to fill your lungs and renew every cell in your body in a way only crisp country air can. As you are enjoying this refreshing moment, become aware of a small pond just a short distance from you. As you look across the pond, you see the gentle little ripples on the surface of the water. A duck meanders across the water lazily enjoying the day with you.

Imagine now that you are the duck meandering lazily across the surface of the gently rippled pond. You slowly paddle your amply webbed feet, going everywhere and nowhere with the ease of a falling leaf. The water, as it parts and folds around you, buoys you, causing you to feel totally weightless. Enjoying the refreshment of the moment, you dip your bill into the water for a drink and, finding the water satisfying, dip your entire head and neck under the water, the droplets beading and rolling off your well oiled feathers and back into the pond you are floating on. After some time adrift, you find yourself at the shore and walk easily up the pebbly beach, shake loose any remaining water droplets, and waddle across to a comfortable place on the grass. Behind you on the grass a figure sits gazing into the scenery.

Allow your imagination now to return to your own body as you sit comfortably on the grass taking in the rich view of the trees, the pond, and a cozy duck roosting in the grass as every breath continues to allow you to relax with ease.

Weeble Kung Fu

A popular children’s toy since the 1970’s, Weebles are character toys that resemble eggs. Their rounded, weighted bottom causes them to roll to the side and then upright themselves. The marketing theme is “weebles wobble but they don’t fall down.”

Many clients are familiar with them, so they make a great demonstration tool even if not present. Their characteristics make them ideal for imprinting the idea of resilience through being flexible based on circumstance and having a well-grounded foundation to maintain stability and recovery.



Resources

Brain res. 2015 jan 8. Pii: s0006-8993(14)01752-1. Doi: 10.1016/j.brainres.2014.12.045. [epub ahead of print]

Macrophage activation and its role in repair and pathology after spinal cord injury. Gensel jc1, zhang b2. Abstract The injured spinal cord does not heal properly. In contrast, tissue repair and functional recovery occur after skin or muscle injuries. The reason for this dichotomy in wound repair is unclear but inflammation, and specifically macrophage activation, likely plays a key role… occurs during normal healing and facilitates transitions through the inflammatory, proliferative, and remodeling phases of repair. In contrast, in the injured spinal cord, pro-inflammatory macrophages potentiate a prolonged inflammatory phase and remodeling is not properly initiated. The desynchronized macrophage activation after spinal cord injury is reminiscent of the inflammation present in chronic, non-healing wounds.

Curr top behav neurosci. 2014;21:3-21. Doi: 10.1007/7854_2014_320.

Psychophysiology of dissociated consciousness. Bob p1.

According to recent findings a level of conscious integration may change during certain conditions related to experimental cognitive manipulations, hypnosis, or stressful experiences that can lead to dissociation of consciousness. In psychopathological research the term dissociation was proposed by pierre janet for explanation of processes related to splitting of consciousness due to traumatic events or during hypnosis.

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Trauma-related dissociative (conversion) disorders in children and adolescents--an overview of assessment tools and treatment principles. Diseth TH1, Christie HJ. A combination of individual psychotherapy, pharmacotherapy and family therapy are often required to handle dissociative disorders in children and adolescents. Cognitive-behavioural therapy, hypnotherapy, Eye-Movement Desensitization-Reprocessing (EMDR), psychodynamic therapy and an integrated approach are the main described psychotherapeutic approaches, but treatment of dissociation in children and adolescent does not require allegiance to any one particular treatment model. However, achievement of physical safety by providing a safe environment is a primary goal that supersedes any other therapeutic work.

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Tranceformations: hypnosis in brain and body. Spiegel d1.

Analogies between the hypnotic state and dissociative reactions to trauma are presented, and the uses of hypnosis in treating posttraumatic stress disorder, stressful situations, and phobias as well as outcome data are reviewed. Effects of hypnosis on control of somatic processes are discussed, and then effects of psychosocial support involving supportive-expressive group therapy and hypnosis on survival time for cancer patients are evaluated. The evidence indicates an important role for hypnosis in managing anxiety disorders and anxiety related to medical illness.

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Purohit mp1, wells re, zafonte r, davis rb, yeh gy, phillips rs. Adults with ≥ 1 neuropsychiatric symptom use mind-body therapies frequently; more symptoms are associated with increased use. Future research is needed to understand the efficacy of these therapies.

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Our bodies, our selves: treating the somatic expressions of trauma with ego-state therapy. Phillips m1.

Through the use of hypnotic techniques such as the somatic bridge, ideosensory signalling, and sensory awareness training, ego-state therapy can be directed to those parts of the self which are more connected to somatic expressions of traumatic experiences. Mil med. 1992 sep;157(9):504-5. Acute trauma and hypnosis.

Manusov eg, murray g “hypnosis is a valuable adjunct to the management of acute trauma. This is a case presentation of the management of severe burn injuries after fire and explosion on a united states navy vessel. Hypnosis was used to calm one patient and facilitate intubation. Further suggestions of rapid healing and anxiety control were given. Hypnosis is not only helpful for management, but can be used to decrease the perceived severity of the incident. Patient well-being may also prevent sequelae of stress.”


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sanford h. Auerbach, m.d.,3 kenneth r. Casey, m.d.,4 susmita chowdhuri, m.d.,5

anoop karippot, m.d.,6 rama k. Maganti, m.d.,7 kannan ramar, m.d.,8 david a.

Kristo, m.d.,9 sabin r. Bista, m.d.,10 carin i. Lamm, m.d.,11 and timothy i.

Morgenthaler, m.d.8

The following behavioral therapies may be considered for treatment of ptsd-associated nightmares based on low-grade evidence: exposure, relaxation, and rescripting therapy (errt); sleep dynamic therapy; hypnosis; eye-movement desensitization and reprocessing (emdr); and the testimony method.

Isr j psychiatry relat sci. 2008;45(1):39-48. Self-mutilating behavior in patients with dissociative disorders: the role of innate hypnotic capacity. Ebrinc s1, semiz ub, basoglu c, cetin m, agargun my, algul a, ates a. “this study strongly supports the assumption that patients with dd are at high risk for self-mutilating behavior and points to the necessity of routine screening for self-mutilating behavior as well as the hypnotic capacity which may constitute a high risk for self-injury in this patient group.” Int j clin exp hypn. 2008 apr;56(2):185-97. Doi: 10.1080/00207140701849536. Hypnotherapy in management of pain and reexperiencing of trauma in burn patients.

Shakibaei f1, harandi aa, gholamrezaei a, samoei r, salehi p. The hypnotherapy group showed significantly lower pain ratings than the control group and reported a significant reduction in pain from baseline. There was a significant reduction in trauma reexperience scores in the hypnotherapy group but not the control group. The findings support the efficacy of hypnotherapy in the management of both pain and reexperiencing of trauma in burn patients. Pain. 1996 Aug;66(2-3):385-8.

Psychosomatic treatment of phantom limb pain with post-traumatic stress disorder: a case report. Muraoka M1, Komiyama H, Hosoi M, Mine K, Kubo C. Abstract

The successful treatment of severe left lower limb phantom pain is reported. Hypnosis and antidepressant drugs were the basis for the treatment which controlled the phantom limb pain and an associated post-traumatic stress disorder. Early sci med. 2014;19(6):549-57.

Nothing new under the sun: post-traumatic stress disorders in the ancient world. Abdul-hamid wk1, hughes jh. The Mesopotamians explain the disorder in terms of spirit affliction; the spirit of those enemies whom the patient had killed during battle causing the symptoms.

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http://www.ncbi.nlm.nih.gov/pubmed/?term=Semiz%20UB%5BAuthor%5D&cauthor=true&cauthor_uid=18587168

http://www.ncbi.nlm.nih.gov/pubmed/?term=Basoglu%20C%5BAuthor%5D&cauthor=true&cauthor_uid=18587168

http://www.ncbi.nlm.nih.gov/pubmed/?term=Cetin%20M%5BAuthor%5D&cauthor=true&cauthor_uid=18587168

http://www.ncbi.nlm.nih.gov/pubmed/?term=Agargun%20MY%5BAuthor%5D&cauthor=true&cauthor_uid=18587168

http://www.ncbi.nlm.nih.gov/pubmed/?term=Algul%20A%5BAuthor%5D&cauthor=true&cauthor_uid=18587168

http://www.ncbi.nlm.nih.gov/pubmed/?term=Ates%20A%5BAuthor%5D&cauthor=true&cauthor_uid=18587168


http://www.ncbi.nlm.nih.gov/pubmed/?term=Shakibaei%20F%5BAuthor%5D&cauthor=true&cauthor_uid=18307128

http://www.ncbi.nlm.nih.gov/pubmed/?term=Harandi%20AA%5BAuthor%5D&cauthor=true&cauthor_uid=18307128

http://www.ncbi.nlm.nih.gov/pubmed/?term=Gholamrezaei%20A%5BAuthor%5D&cauthor=true&cauthor_uid=18307128

http://www.ncbi.nlm.nih.gov/pubmed/?term=Samoei%20R%5BAuthor%5D&cauthor=true&cauthor_uid=18307128

http://www.ncbi.nlm.nih.gov/pubmed/?term=Salehi%20P%5BAuthor%5D&cauthor=true&cauthor_uid=18307128


http://www.ncbi.nlm.nih.gov/pubmed/?term=Muraoka%20M%5BAuthor%5D&cauthor=true&cauthor_uid=8880863

http://www.ncbi.nlm.nih.gov/pubmed/?term=Komiyama%20H%5BAuthor%5D&cauthor=true&cauthor_uid=8880863

http://www.ncbi.nlm.nih.gov/pubmed/?term=Hosoi%20M%5BAuthor%5D&cauthor=true&cauthor_uid=8880863

http://www.ncbi.nlm.nih.gov/pubmed/?term=Mine%20K%5BAuthor%5D&cauthor=true&cauthor_uid=8880863

http://www.ncbi.nlm.nih.gov/pubmed/?term=Kubo%20C%5BAuthor%5D&cauthor=true&cauthor_uid=8880863


http://www.ncbi.nlm.nih.gov/pubmed/?term=Abdul-Hamid%20WK%5BAuthor%5D&cauthor=true&cauthor_uid=25577928

http://www.ncbi.nlm.nih.gov/pubmed/?term=Hughes%20JH%5BAuthor%5D&cauthor=true&cauthor_uid=25577928



J psychosom res. 2013 jan;74(1):41-8. Doi: 10.1016/j.jpsychores.2012.09.010. Epub 2012 oct 11.

Mindfulness therapy for somatization disorder and functional somatic syndromes: analysis of economic consequences alongside a randomized trial. Fjorback lo1, carstensen t, arendt m, ornbøl e, walach h, rehfeld e, fink p. Mindfulness therapy may prevent disability pension and it may have a potential to significantly reduce societal costs and increase the effectiveness of care. Dan med j. 2012 nov;59(11):b4547.

Mindfulness and bodily distress. Fjorback lo1. In conclusion, the social and economic consequences of bds are significant and mindfulness therapy may have a potential to significantly improve function, quality of life and symptoms, prevent a social decline, and reduce societal costs. Encephale. 2012 oct;38(5):373-80. Doi: 10.1016/j.encep.2011.12.003. Epub 2012 jan

24.

Posttraumatic stress disorder (ptsd) as a consequence of the interaction between an individual genetic susceptibility, a traumatogenic event and a social context]. Auxéméry y1.

Chronic ptsd can manifest itself in different clinical forms. The repetition syndrome can appear a long time after the traumatic event, following a paucisymptomatic latency period, which can last several years or even decades. The absence of complaints from the patient is common, the latter suffering in silence. Often other comorbid disorders and other complaints arise sooner than the clinical picture. Thus a depressive episode characterised as drug-seeking behaviour is frequently encountered... A posttraumatic stress disorder is never just a coincidence. The different stages of the evolution and the establishment of a ptsd are the expression of an interaction between the outside and the inner self. Despite a known progression of the posttraumatic stress disorder, this deleterious evolution is far from being a foregone conclusion. On the contrary, several levels of prevention are possible at each stage of its structuration to propose treatments to subjects who are vulnerable and/or present symptoms. No neurobiological study has yet found a biological marker, which would apparently and inevitably destine a subject to structure, a posttraumatic stress disorder in reaction to a stress…ptsd is a pathology which interacts with the societal context: on the one hand the trauma is established on the brutal reconsideration of social values which seem immutable and on the other hand, the clinical and nosographical concept of ptsd is changing with the evolution of society.


http://www.ncbi.nlm.nih.gov/pubmed/?term=Fjorback%20LO%5BAuthor%5D&cauthor=true&cauthor_uid=23272987

http://www.ncbi.nlm.nih.gov/pubmed/?term=Carstensen%20T%5BAuthor%5D&cauthor=true&cauthor_uid=23272987

http://www.ncbi.nlm.nih.gov/pubmed/?term=Arendt%20M%5BAuthor%5D&cauthor=true&cauthor_uid=23272987

http://www.ncbi.nlm.nih.gov/pubmed/?term=Ornb%C3%B8l%20E%5BAuthor%5D&cauthor=true&cauthor_uid=23272987

http://www.ncbi.nlm.nih.gov/pubmed/?term=Walach%20H%5BAuthor%5D&cauthor=true&cauthor_uid=23272987

http://www.ncbi.nlm.nih.gov/pubmed/?term=Rehfeld%20E%5BAuthor%5D&cauthor=true&cauthor_uid=23272987

http://www.ncbi.nlm.nih.gov/pubmed/?term=Fink%20P%5BAuthor%5D&cauthor=true&cauthor_uid=23272987


http://www.ncbi.nlm.nih.gov/pubmed/?term=Fjorback%20LO%5BAuthor%5D&cauthor=true&cauthor_uid=23171754


http://www.ncbi.nlm.nih.gov/pubmed/?term=Aux%C3%A9m%C3%A9ry%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=23062450



Harefuah. 2013 aug;152(8):490-3, 497.

[use of hypnosis in the treatment of combat post traumatic stress

disorder (ptsd)].

[article in hebrew]

Abramowitz eg1, bonne o.

Hypnotherapy may accelerate the formation of a therapeutic alliance and contribute to a positive treatment outcome. Hypnotic techniques may be valuable for patients with ptsd who exhibit symptoms such as anxiety, dissociation, widespread somatoform pain complaints and sleep disturbances. Hypnotic techniques may also facilitate the arduous tasks of working through traumatic memories, increasing coping skills, and promoting a sense of competency.

J Child Adolesc Psychiatr Nurs. 2009 Feb;22(1):2-6. doi: 10.1111/j.1744-6171.2008.00163.x.

Treatment of trauma- and abuse-related dissociative symptom disorders in children and adolescents. Weber S1. Prognosis in children and adolescents can vary widely among patients and between the specific types of dissociation disorder; however, expert clinicians and researchers agree that early, intense treatment offers the greatest possibility of full recovery. Int J Clin Exp Hypn. 1992 Jan;40(1):1-6.

The first report of hypnotic treatment of traumatic grief: a brief communication. Vijselaar J1, van der Hart O. Abstract

In 1813 the Dutch physicians Wolthers, Hendriksz, De Waal, and Bakker reported the hypnotic treatment of a woman suffering from traumatic grief, in which the therapist had to deal directly with the patient's spontaneous reenactments of the circumstances surrounding the death. This report, summarized in the present article, has historical value, as it is probably the first known precursor of the uncovering hypnotic approach. The original authors' views on the case are discussed, and a modern view for understanding the patient's traumatic grief and its treatment is presented. Am J Clin Hypn. 1990 Apr;32(4):263-71.

Hypnotherapy for traumatic grief: janetian and modern approaches integrated. van der Hart O1, Brown P, Turco RN. Abstract Traumatic grief occurs when psychological trauma obstructs mourning. Nosologically, it is related to pathological grief and posttraumatic stress disorder (PTSD). Therapeutic advances from both fields make it clear that the trauma per se must be accessed before mourning can proceed. The gamut of psychotherapies has been employed, but hypnosis appears to be the most specific. Pierre Janet provided a remarkably modern conceptual basis for diagnosis and treatment based on a dissociation model. His approach is combined with contemporary innovations to present a systematic and integrated account of hypnotherapy for traumatic grief.


http://www.ncbi.nlm.nih.gov/pubmed/?term=Abramowitz%20EG%5BAuthor%5D&cauthor=true&cauthor_uid=24167937

http://www.ncbi.nlm.nih.gov/pubmed/?term=Bonne%20O%5BAuthor%5D&cauthor=true&cauthor_uid=24167937


http://www.ncbi.nlm.nih.gov/pubmed/?term=Weber%20S%5BAuthor%5D&cauthor=true&cauthor_uid=19200286


http://www.ncbi.nlm.nih.gov/pubmed/?term=Vijselaar%20J%5BAuthor%5D&cauthor=true&cauthor_uid=1541574

http://www.ncbi.nlm.nih.gov/pubmed/?term=van%20der%20Hart%20O%5BAuthor%5D&cauthor=true&cauthor_uid=1541574


http://www.ncbi.nlm.nih.gov/pubmed/?term=van%20der%20Hart%20O%5BAuthor%5D&cauthor=true&cauthor_uid=2186612

http://www.ncbi.nlm.nih.gov/pubmed/?term=Brown%20P%5BAuthor%5D&cauthor=true&cauthor_uid=2186612

http://www.ncbi.nlm.nih.gov/pubmed/?term=Turco%20RN%5BAuthor%5D&cauthor=true&cauthor_uid=2186612



Am J Clin Hypn. 2005 Oct-2006 Jan;48(2-3):183-9.

Hypnotic treatment of PTSD in children who have complicated bereavement. Iglesias A1, Iglesias A. Abstract Although conceptualized as a normal reaction to loss and not classified as a mental disorder, grief can be considered a focus of treatment. When grief complicates and becomes pathological by virtue of its duration, intensity, and absence or by bizarre or somatic manifestation, a psychiatric diagnosis is in order. Childhood PTSD in Complicated Bereavement is a condition derived from the loss of a loved one when the nature of death is occasioned through traumatic means. The traumatic nature of the loss engenders trauma symptoms, which impinge on the child's normal grieving process and his/ her ability to negotiate the normal grieving system. The 2 cases presented herein constitute single session treatment with clinical hypnosis of PTSD, a result of the traumatic loss of the paternal figures. The setting in which these cases took place was rural Guatemala. Treatment consisted of single session hypnosis with the Hypnotic Trauma Narrative, a tool designed to address the symptomatology of PTSD. Follow-up a week later and telephone follow-up 2 months later demonstrated the resolution of traumatic manifestations and the spontaneous beginning of the normal grief process. PMID:

16482845 Am J Clin Hypn. 2003 Jul;46(1):45-51.

The hypnotic belay in alpine mountaineering: the use of self-hypnosis for the resolution of sports injuries and for performance enhancement. Morton PA. Abstract

The author, an experienced alpine mountaineer, sustained several traumatic climbing injuries over a two-year period. This article describes her multiple uses of self-hypnosis to deal with several challenges related to her returning to successful mountain climbing. She used self-hypnosis for physical healing and to enhance her motivation to resume climbing. While training for her next expedition, she successfully utilized self-hypnotic techniques to deal with acute stress and later post-traumatic symptoms that had emerged related to her climbing injuries. She describes her use of hypnotic ego-strengthening, mental rehearsal, age progression, and "Inner Strength" as well as active-alert trance states. Her successful summitting of Ecuador's Cotopaxi at 19,380 feet was facilitated by "The Hypnotic Belay" which permitted her to secure herself by self-hypnosis in addition to the rope used to secure climbers. In 1994, the author returned to the Cascade Mountains where she had been injured three years earlier and reached the summit of Mount Shuksan. This time she was secured by "The Hypnotic Belay". Front public health. 2014 dec 22;2:286. Doi: 10.3389/fpubh.2014.00286. Ecollection 2014.

Facebook, quality of life, and mental health outcomes in post-disaster urban environments: the l'aquila earthquake experience. Masedu f1, mazza m2, di giovanni c3, calvarese a3, tiberti s1, sconci v3, valenti m4. The use of social networks may be an important tool for coping with the mental health outcomes of disruptive natural disasters, helping to maintain, if not improve, qol in terms of social relationships and psychological distress.


http://www.ncbi.nlm.nih.gov/pubmed/?term=Iglesias%20A%5BAuthor%5D&cauthor=true&cauthor_uid=16482845

http://www.ncbi.nlm.nih.gov/pubmed/?term=Iglesias%20A%5BAuthor%5D&cauthor=true&cauthor_uid=16482845


http://www.ncbi.nlm.nih.gov/pubmed/?term=Morton%20PA%5BAuthor%5D&cauthor=true&cauthor_uid=12894930

http://www.ncbi.nlm.nih.gov/pubmed/?term=Masedu%20F%5BAuthor%5D&cauthor=true&cauthor_uid=25566527

http://www.ncbi.nlm.nih.gov/pubmed/?term=Mazza%20M%5BAuthor%5D&cauthor=true&cauthor_uid=25566527

http://www.ncbi.nlm.nih.gov/pubmed/?term=Di%20Giovanni%20C%5BAuthor%5D&cauthor=true&cauthor_uid=25566527

http://www.ncbi.nlm.nih.gov/pubmed/?term=Calvarese%20A%5BAuthor%5D&cauthor=true&cauthor_uid=25566527

http://www.ncbi.nlm.nih.gov/pubmed/?term=Tiberti%20S%5BAuthor%5D&cauthor=true&cauthor_uid=25566527

http://www.ncbi.nlm.nih.gov/pubmed/?term=Sconci%20V%5BAuthor%5D&cauthor=true&cauthor_uid=25566527

http://www.ncbi.nlm.nih.gov/pubmed/?term=Valenti%20M%5BAuthor%5D&cauthor=true&cauthor_uid=25566527



Books Trujillo, Timothy L.: Tsunami Effect TLT Press ISBN 978-0990733409 Frankl, Viktor: Man’s Search for Meaning Beaconess Press 978-0807014295 Prager, Judith; Acosta, Judith: The Worst is Over Jodere ISBN 1-58872-024-1 Cousins, Norman: Anatomy of an Illness W. W. Norton & Co. ISBN 0-393-01252-2 Levine, Peter A : Waking the Tiger North Atlantic Books ISBN 1-55643-233-0 Scaer, Robert: The Body Bears the Burden Routledge ISBN 978-0-415-64153-4 Zolli, Andrew: Resilience Simon & Schuster ISBN 978-1451683813 Schiff, Harriet Sarnoff: The Bereaved Parent ISBN 978-0140050431

Films Railway Man

Fearless

We Were Soldiers

Fried Green Tomatoes

Tommy

Smoke Signals

Websites Firstmedicines.org

ACE.org

Trauma-recovery.net

CDC.gov

Pubmed.com

posttraumaticgrowth.com

viktorfrankl.org



Appendix A

Instantaneous Hypnosis

Timothy L. Trujillo





Introduction

Hypnosis has a long held reputation as a tool of rapid resolution for unwanted behaviors or sensations. Indeed, one of the most mystifying aspects of hypnosis is the seemingly instant response to the hypnotist through the snapping of the fingers or the utterance of a single word or phrase. For this reason, it is important that a skilled hypnotist be well versed in instantaneous induction methods. The ability to demonstrate phenomenal hypnotic manifestations also elevates the status of the hypnotist in the imagination of the client. These demonstrations, coupled with the confidence exuded through their execution, help to stimulate clients toward greater success. In addition, once a client has been conditioned to instantaneous induction, catalepsy and rapid deepening, the subconscious mind of the client begins to manifest solution-oriented responses with the same rapidity. The key to successful rapid induction of hypnosis is the instantaneous follow-up with rapid deepening technique. Particularly in the case of dis-equilibriating inductions, it is vital for the hypnotist, after dislodging balance, to bring the client into deep rest through rapid deepening. This compounds the effect of the induction, thus garnering greater results for the client. Therefore, the deepening process should be considered a more integral element of rapid inductions, in contrast to progressive inductions, which can in and of themselves be used as deepening techniques. Also important in the art of cultivating deep hypnosis is the ability to deepen the hypnotic trance through re-induction of hypnosis. Repeated rapid induction and deepening can facilitate rapid depth hypnosis. This course includes a series of such methods that have been of great benefit in my practice and teaching. I have used these rapid response techniques as intervention models for clients. They have been able to develop response patterns to immediately release tension, anxiety and pain. While these methods remain a bit "showy," their potential for long-term benefits has made them the cornerstone of my hypnotic repertoire.



Inductions 3 snaps In a moment I'm going to snap my fingers three times. On the first snap allow every muscle in your body to relax, except your eyelids. On the second snap, let your eyelids close down and let another wave of relaxation move across you from the top of your head to the tips of your toes. On the third snap, imagine that your eyelids are like the top of a roll top desk. Imagine that you've turned tiny keys in the tiny keyholes to lock those eyelids down. When you see the keys turn, test the eyelids, and see that you've become so successful at locking those eyelids closed. Alright now first snap (snap), allow every muscle to relax, release and just let go. Let the eyelids remain open. Second snap (snap), now let the eyelids close and allow another wave of relaxation to move across you from the top of your head to the tips of your toes. Third snap now (snap), and visualize tiny keys turning in tiny keyholes, locking those eyelids down. Now test the eyelids, try to open them and see that you've been so successful at relaxing and locking those eyelids down that they wouldn't open even if you wanted them to. That's good, now stop trying, relax and go even deeper into hypnosis.



2 Fingers hypnotist holds two fingers of right hand approximately ten inches in front of client's face, slightly above their line of vision and says:

Focus your eyes right on my fingertips. As I bring my fingers in follow them up and then down, let your eyelids close and sleep (snap) hypnotist moves fingers in to about two inches from eyes, then up two inches then down, snapping finger and commanding sleep as the fingers pass the chin. Follow up quickly with rapid deepening

Hand Press hypnotist holds left hand, palm up, in front of client

Place your right hand, palm down on top of my palm. Now press down firmly, bringing all your energy up from your toes and into this hand. Good. Now focus your eyes right here on mine, take a deep breath… exhale and sleep now

as client exhales, snap fingers as you pull left hand away, allowing client's hand to drop. This drop should cause the client's eyes to close as the head drops forward. Begin rapid deepening. If client's eyes do not close, or if they close and open again, point directly between the brows and draw the finger down slowly as you say: Relaxing the forehead, the brows, the eyelids just closing as you relax the cheeks, the jaw, the neck and shoulders and all the way

down to the tips of the toes.



Rapid Deepening Techniques

Rapid Countdown 10 9 8, you're drifting down, 7 6 5, every muscle and nerve, relaxing releasing and just letting go…4, 3, 2, 1. Deep sleep now

Rapid Fractional Relaxation Now relaxing in the forehead, brows, eyes, cheeks, down the jaw, neck, shoulders, chest, abdomen and all the way through the legs, every muscle letting go.

Hand Drop I'm just going to lift your right hand by the thumb now, and as I do, just allow this arm to hang completely loose, limp, and relaxed, just as though it were a wet rag, so relaxed and so at ease. (gently shake arm by thumb to release muscles) Now when I release this arm, allow a wave of relaxation to flow over you, from the top of your head right here (gently touching top center of forehead with center finger) all the way down to the tips of your toes.

Rapid Automatic Deepening Every sound every breath every thought every feeling carrying you deeper and deeper and deeper…



Catalepsy Tests Hypnotic tests remain the "signs and wonders" of hypnotic demonstrations. There are two principle reasons to use them. The first is to demonstrate to the client that they have released their will, accessed subconscious responsiveness and indeed have "become hypnotized." A great number of clients have sat in my office and given reports of visits to other hypnotherapists during which they did not feel they had been hypnotized. This is a common obstacle for all hypnotists to overcome. When I interviewed them about the previous hypnosis session and asked if the hypnotist had challenged them or tested them in hypnosis, they commonly report that they were instructed to sit in a chair, stare at a spot or close their eyes, and taken through a relaxation exercise. This remains a highly effective method for inducing hypnotic trance, yet it continues to leave some clients with the feeling that although they felt very relaxed, they did not know if they had been truly "hypnotized." While the true measure of hypnosis is the outcome of response to suggestions, or as has been poetically stated by the British, "the proof of the pudding is in its eating," tests or catalepsies give the client the opportunity to have a small taste of that "pudding" while still experiencing the hypnotic session. Also, the demonstration of hypnotic phenomena initiates a cascade of mental responses within most clients. When the client realizes through some test or catalepsy that they are indeed "hypnotized," the thoughts tend to follow the track that "if I'm hypnotized then I am going to get the results I came here for." This idea, emblazoned within the deep mind of a client, can frequently elicit greater success than the most eloquent process or suggestion alone. The second reason to use catalepsy tests is to demonstrate to the client how their mind can create their reality. Though it seems a simple idea, I have helped clients use the demonstrations to overcome many conditions from chronic headaches to impotence. One key component of successful utilization of catalepsies, like all direct or rapid techniques, is the confidence of the hypnotist. This confidence fuels a sense of expectation in the mind of both hypnotist and client. Expectations can be informed by keen observation of client responses during pre-hypnotic testing. Choice of client-specific catalepsy tests will ensure success; the ability to appropriately identify and employ them will boost the assurance and therefore, confidence of the hypnotist.



Arm Catalepsy (relaxed) Focus your attention in your right arm and hand. Become aware of how relaxed that arm is right now. In fact, you may become aware that that arm is so relaxed now that you couldn't lift it even if you wanted to. When you feel, indeed, that the arm is so heavy that it wouldn't lift even if you wanted it to, test it and see how successful you've been at relaxing that arm now. That's good, stop trying now, relax and go deeper into hypnosis.

Eye Catalepsy (Permissive) With your eyelids closed, become aware of how totally relaxed those eyelids feel now, totally relaxed and at ease. In fact become aware now that you've relaxed those eyelids so much that were you to try to open them, you'd find the more you tried to open them the more they relax and remain closed, relaxed so much that they would not open even if you wanted them to. When you find that you've relaxed those eyes so much that they will not open, test them and see how successful you've been at relaxing those eyelids so much that they will not open. That's good; stop trying to open them, relax and drift even deeper

into hypnosis.



Arm Catalepsy (rigid) Now I am going to hold this relaxed arm out in space, just like this. (hypnotist holds arm out, extended fully in front of or above reclining client). As I hold this arm in this position, it is becoming very comfortable in this very position. So comfortable in fact, it is beginning to feel as though it was created in this position, carved in stone or cast in steel right in this very position. So solid in fact that as I remove my hands it remains locked rigidly in place. Locked so rigidly in place that were you to try to bring that arm down, you'd find it locked so rigidly in place that the more you tried to bring it down, the more solidly and rigidly it locks in place. Of course the more solidly and rigidly that arm locks in place, the deeper into hypnosis you drift, causing that arm to lock more solidly and rigidly in place. Satisfy yourself now, try to bring the arm down and find it locking solidly and rigidly in place, and when you find that you cannot bring the arm down, simply say "I’m satisfied." (client states "I’m satisfied") That's good then, stop trying. Now observe a mystery. I am going to tap that hand right on the back of the palm and as I do that whole hand and arm will relax completely, drifting down, causing you to drift deeper and deeper and deeper into hypnosis (hypnotist taps back of hand) And drifting deeper now…wonderful.

Eye Catalepsy (Authoritative) Now in a moment I’m going to count from five down to one, and as I do, a curious tension moves into all the muscles around the eyes causing them to close tighter and tighter and tighter. Closing so tightly in fact that on the number one those eyes have locked down so tightly that the more you try to open them the tighter they lock down. Of course the tighter they lock down the deeper you drift and the deeper you drift into hypnosis, the tighter those eyelids lock closed. On five, your eyes are closed and now they're locking tightly shut. On four in fact, they're locking tighter than ever before. So tightly that on the number three, it seems as though they've been glued or welded shut. So tightly locking down that on the number two, it seems the more you would try to open them, the tighter they lock down. On the number one now satisfy yourself, try to open your eyes and find them locking tightly closed. So much now that the more you try to open them the tighter they lock down and the tighter they lock down the deeper you drift. When you find indeed that you cannot open them, simply say "I’m satisfied." That's good, stop trying, relax, going even deeper into hypnosis.



A Combined Induction, Deepening, Catalepsy

Process

Hand Press hypnotist holds left hand, palm up, in front of client

Place your right hand, palm down on top of my palm. Now press down firmly, bringing all your energy up from your toes and into this hand.

Now focus your eyes right here on mine, take a deep breath… exhale and sleep now As client exhales, snap fingers as you pull left hand away, allowing client’s hand to drop. This drop should cause the clients eyes to close as the head drops forward. Rapid Countdown

10 9 8, you're drifting down, 7 6 5, every muscle and nerve is relaxing releasing and just letting go… Hand Drop

I'm just going to lift your right hand by the thumb now, and as I do, just allow this arm to hang completely loose, limp, and relaxed. Just as though it were a wet rag, so relaxed and so at ease. (gently shakes arm by thumb to release muscles) now when I release this arm, allow a wave of relaxation to flow over you, from the top of your head right here (gently touching top center of forehead with center finger) all the way down to the tips of your toes. (hypnotist releases hand) and deeper into hypnosis now. (repeat with left hand)



Arm Catalepsy (relaxed)

Focus your attention in your right arm and hand. Become aware of how relaxed that arm is right now. In fact, you may become aware that that arm is no so relaxed now that you couldn't lift it even if you wanted to. When you feel, indeed, that the arm is so heavy that it wouldn't lift even if you wanted it to, test it and see how successful you've been at relaxing that arm now. That's good, stop trying now, relax and go deeper into hypnosis. Now, transfer that feeling from the arm into your eyelids.

Eye Catalepsy (Permissive)

With your eyelids closed, become aware of how totally relaxed those eyelids feel now. Totally relaxed and at ease. In fact become aware now that you've relaxed those eyelids so much that were you to try to open them, you'd find the more you try to open them the more they relax and remain closed. Relaxed so much that they would not open even if you wanted them to. When you find that you've relaxed those eyes so much that they will not open, test them and see how successful you've been at relaxing those eyelids so much that they will not open. That's good; stop trying to open them, relax and drift even deeper into hypnosis.

Awakening

In a moment I’m going to count from 1 to 5, as I do you will return to full awareness. On the number 5, your eyes will open and you will emerge refreshed, renewed, and filled with invigoration (confidence, etc.). On the number one now, slowly, easily, gently, and calmly, you are returning to full awareness once again. On two, every muscle is relaxed and feeling wonderfully good. On three, now from head to toe you are feeling perfect in every way: physically perfect, mentally perfect, emotionally calm and serene. On four now, your eyes begin to grow sparkling clear, feeling as though they've been bathed in cool, running spring waters. On the next number I count, your eyelids open and you return to full wakefulness once again. Number five, now eyelids open, fully aware, refreshed renewed, invigorated. Take a deep breath now, stretch, and smile.



Pendulum

A pendulum can be created with any weight attached to the end of eight to ten inches of string. Many styles of pendulums are available commercially, most featuring some type of crystal or cut glass at the end of a chain. The pocket-watch is a classic pendulum device used in hypnotism and my personal choice for use. When working with a pendulum, have the client hold the arm outstretched and allow the pendulum to hang directly in front of the eyes. Have client use dominant hand. Hold this pendulum directly in front of you now, arm extended yet relaxed. Keep your eyes focused on the object (crystal, watch, etc.) And in your mind, begin to visualize that object moving either toward you and away from you or right and left, like the pendulum of a grandfather clock. Make no conscious effort to move the object, but in your mind, visualize that object moving right and left like the pendulum of a clock, or toward you and away from you like a child, swinging on a swing. Observe movement

Now, allow it to swing higher and higher and higher. Now allow the object to begin to move in a circular motion, either clockwise or counter-clockwise. Observe movement Allow that motion to grow wider and wider and wider. Now allow the object to change direction and swing the opposite way.



Pendulum Induction Now as the object continues to move, tell me which is getting heavier, your arm or your eyelids await response—usually arm Now let the heaviness begin to increase and cause that arm to begin to be drawn down. Imagine that object is doubling in weight with every swing, getting heavier and heavier and heavier, beginning to draw that arm down.

And find that as the arm gets heavier and heavier, the eyelids get heavier and heavier as well. And as the arm is drawn down the eyelids are drawn down, heavier and heavier and heavier. Find in fact that your arm has become so heavy that as it continues to be drawn down with the eyelids, holding them up is more than you even want to concern yourself with. When you find that those heavy eyeslids and arm want to come down, go ahead and let the arm just come all the way dow, and let the eyelids be closed down also.





Appendix B

Hands-on Hypnosis

Timothy L. Trujillo



History of Hands-on Healing The placement of hands upon a distressed, ill, or injured person is one the oldest healing interventions. Practiced throughout the world and in almost every culture, treatment methods range from simple contact with intention, to elaborate rituals and specific formulas. The fact that hands-on healing methods exist in modern indigenous populations suggests that this method of healing has been practiced at least since the Stone Age. Ancient texts of many cultures illuminate the practice as it became systematized over time. Egyptian, Greek, East Indian, Chinese, and other antiquarian societies have left records that allude to the special regard for healers who practiced the “laying on of hands.” Western culture has been well informed of these practices through biblical reports of the many instances of Jesus touching the ill to “make them whole.” During the Middle Ages European kings, through divine influence, practiced what was known as the “Royal Touch”. All systems of hands-on healing are rooted in the principle that through the action of contact there is some transmission of vital healing force that emanates from the practitioner to the recipient. Throughout most of history the nature of this force has been “divine virtue”. During the last three centuries the scientific mind has developed a secular model to describe this force, which is generally labeled as “energy”. Transmission of this energy is rooted in two fundamental modes of action; the practitioner serves as a reservoir of a certain quality of energy or serves as a conduit that allows energy to flow from a cosmic source and into the recipient. In the late eighteenth century, Viennese physician Franz Mesmer proposed the scientific theory that energy or “fluidum” naturally flowed through all living things and the inhibition of flow caused illness. He discovered that influence by an outside operator could balance this flow and restore health. Based on concurrent trends in science he labeled his method “Animal Magnetism”. This practice, and particularly manifestations produced from it, known first as “Magnetic Sleep”, became the springboard for modern hypnotism.



The Science of Bio-Energetics Mesmer’s thesis of Animal Magnetism is that “every body in space influences every other body in space.” This concept is based on the alchemical axiom, “as above, so below.” This axiom suggests that everything in the physical world is echoed in larger and smaller models. According to Mesmer’s theory, just as the planets exercise gravitational influence on one another, so individuals exercise a gravitational or magnetic influence on one another. In the smallest known scale of matter, science observes this bodily influence in the dance between atomic particles. Some of these particles exhibit a characteristic known as polarity that causes them to have an attracting or repelling nature. The protons in the nucleus of the atom carry a positive charge, while the electrons, which orbit the nucleus, carry a negative charge. This inter-particle dynamic creates a phenomenon known as electro-magnetism. This electromagnetic field becomes a force that affects how the atom interacts with other matter. This field can also be measured through instrumentation. As matter “scales up,” the magnitude of the electromagnetic field does also. From molecules, to cells, to tissues, to organs, and the entire organism, the field increases. This field in turn acts upon and can be acted upon by the fields of other matter.

proton electron

electromagnetic field



Occidental Hypnosis Occidental Hypnosis is the form of hypnosis classically utilized in Western cultures. Developed in 1843, it was defined by British Ophthalmologist James Braid. In an effort to debunk the energy-based model of trance induction promulgated by mesmerists, Braid conducted a series of experiments based on the fixation of gaze upon a single object. From these investigations, he discovered that a type of nervous fatigue came upon the individual leading to fluttering and closing eyelids, head and shoulder slump, and the appearance of sleep. Though appearing to be asleep, his subjects still responded to his commands with no resistance. From these observations he concluded that the fatiguing of the nervous system through strain to the ocular nerve induced what he called “nervous sleep”. Turning to the Greek labeling popular in medicine, he named this special state “Neurohypnosis”. Two years following the publishing of his findings, he stated that his original definition of the state was inaccurate. Through further investigation he concluded that the appearance of sleep was only superficial, that the mind of the individual was acutely focused, yet completely unfocused at the same time. He concluded that this special narrowing of conscious consideration would more aptly be called “monoideism”, or the focus of the mind on a single idea to the exclusion of all others. This special state of mind is now commonly known to be akin to the “trance”, associated throughout time to be with mystic rites. Today hypnosis is widely practices throughout the world and is a useful tool in a variety of human endeavors ranging from scholastic and athletic achievement, to behavior control, to psychological and medical intervention. Modern hypnotists utilize both nonverbal and verbal methods to narrow the focus of the mind and cultivate ideas and outcomes. Modern methods of hypnosis include eye fixation, focused breathing, physical relaxation or engagement, and orientation to alternate locations and times. The hypnotist gives ideas or “suggestions” to the individual to script future events. Interactive methods are also employed to help resolve conflict or negative “fixed ideas”.



Oriental Hypnosis In his classic work, Hypnotism and Mysticism in India, renowned hypnotist Ormond McGill reports on the methods of “mental magic” practiced by the mystics of India. Through these methods they are able to accomplish astounding feats of endurance and illusion. A cornerstone technique for the creation of illusion is a method known as Maya. By this method the magician is able to convince an audience that they are, indeed, watching a boy ascend a rope hanging unattached in space and disappear into the ether. He manages this feat by holding an image of the event in his mind and projecting it into the minds of the viewers. McGill has called this method Oriental Hypnosis, and though the average hypnotherapist will likely never need to perform the Indian Rope Trick, there are many feats of ascension, escape, and renewal that constitute common desired outcomes in clinical intervention, particularly those involving emergency response and recovery.

Maya is based on a model of mind called Chitta. Chitta is likened to a lake or reservoir of consciousness. Just as the surface of a lake shows ripples when acted upon by an influence such as wind or the dropping of a stone, the reservoir of Chitta is affected by ideation, the ripples of which are known as “vittris”. These ripples of consciousness affect an individual over space and time and exercise an influence on all aspects of an individual’s existence.

Since “all waters are one,” the influence of one mind on another is a natural occurrence. Through focused action, this influence can be enhanced. The Oriental Hypnotic method is achieved by the operator first stilling his own mind, and then building a visual model (vittris) of experience and outcome. He then projects this model by force of will and intention into the mind of the individual. The projection of thought is best achieved by the limitation of concern of the operator solely toward the one purpose of transmission. This method has the added benefit of causing the hypnotist to remain acutely client-focused during intervention.

The Oriental Hypnotic method may also employ sounds in the form of repeated words that created a resonant effect on the individual. This may include the use of a mantra, a word repeated again and again in order to establish a cadence, or it may include the production of specific sounds, known in the west as “toning.”



The Treatment

Energy Induction Sit comfortably with your feet on the ground and hands together in front of your chest in prayer position. Close your eyes. Squint your eyes tightly and relax them. Observe the change in the quality of light observed on the backs of your eyelids. The light that you observe on your eyelids is energy, light energy, which is both particle and wave. Those tiny photons that are touching your eyelids are also touching your eyebrows, your forehead, your cheeks, jaw, and your entire body. Take a moment to experience the light with these other parts. Now take a moment and listen. Hear the sounds around you. Listen for sounds as far away as you can hear them, experiencing each individual sound. The sound you hear is energy, waves of sound moving through the air to enter the ear, the hearing canal, vibrate the ear drum, and send nerve signals to the brain that are interpreted and understood. Those sound waves that are vibrating the eardrum are also touching the cheekbone, the forehead, the tip of your nose, and your entire body. Take a moment to experience each sound with your entire being. Allow yourself now to absorb this energy and other energy around you, some as heat or coolness. Allow all this energy to flow through you and into the palms of your hands. In your mind visualize or imagine this energy continuing to flow and swell between your hands, causing your palms to begin to separate as the energy expands between them. Observe the impact your breathing has on this energy. Is it greater as you inhale, or as you exhale? Simply observe and allow the ball of energy to continue expanding, growing brighter and brighter and stronger and stronger. Allow this energy to continue to expand until it eventually causes the heels of your palms, the thumbs, and even the fingertips to separate and drift apart. (allow time and observe) As your hands now completely separate, bring them back together very slightly until you feel a little resistance between the hands, like a pillow of air or a magnetic field. Now draw them apart a little more and back together again until you feel the energy, continuing to draw the hands outward and inward, in a way milking the energy into a greater and greater force. See how far you can separate the hands and still feel the resistance. Now move those hands up toward your face and turn the palms toward your face until you can feel the same field around your face. Work with the energy around the face, back and forth, according to how it feels. Now move your hand down across and over the throat area, sending healing energy to your thyroid and voice mechanism. Allow your hands to move down over your heart and solar plexus, both giving and receiving energy in these areas. As you are comfortable, allow your hands to simply come to rest wherever they need to, allowing the energy to continue to flow.



Self-

Treatment

Method



Hand Positions for Treatment

Hands cover eyes reduce light and

induce relaxation and melatonin

release. Thumbs rest on midpoint

between brows, acupoint to induce

relaxation.

Hands cover ears and reduce sound

stimuli. Fingers contact many

acupoints to help with hearing and

jaw complaints.

Hands cover cranium, help quite the

mind. Palm heels rest near acupoint

Bahui, helping “arouse the brain and

settle the will.” Acupoints on top and

side of head help with headache



Hands cover jaws, treating both jaw

and tooth complaint. Fingers rest on

cheek and jaw lymph nodes.

Hands cradle back of head. Allow

head to rest in hands to relax neck.

Fingers rest on occipital ridge at base

of skull and treat many acupoints

that help with headache, eye, and

nose complaints

Hands rest on shoulders, helping to

induce relaxation. Fingers rest on

acupoints to help with breathing

while thumbs rest on acupoint at

base of neck that helps with full

relaxation. Thumb point also helps

with lactation and delivery and

should be used with caution with

pregnant women.



Hands continue to facilitate shoulder

relaxation. Do not press, but wait for

shoulders to release a little more.

Hand joins with client in “buddy

position” to comfort and invite

participation.

Thumb rests on acupoint that helps

with neck and head pain. Fingers

rest on many points at or near wrist

that directly affect Heart, Lungs,

and Stomach



Hands rest on upper abdomen,

helping with indigestion or “reflux”

complaints.

Hands on lower abdomen help with

stomach and bowel complaints and

are also good for menstrual

complaints.

Place individual’s hands on abdomen

and rest your hands on top of them,

flowing intention through to

abdomen. This engages individual in

“co-therapuetics” and conditions for

self-treatment later.



Hands placed on many acupoints

around knee and on foot. Hand

positions around knees help

transition from abdomen to feet.

Hands rest on many acupoints on

feet, including Kidney 1 on bottom of

foot. Treatment can focus on

acupoint and reflexology references.

zones.

Hands resting on extremities of feet

help Liver, Stomach, and

Gallbladder. They also treat

headache, red eyes, and toothache.

Holding ends of toes helps to quiet

the mind.



Holding both feet (bilaterally) helps

to calm and balance while

“grounding” the individual

Holding soles of feet is very settling

for individual, but also invigorates.

Suggestion for “every step brings

you closer to your goal” can also be

added.

These hand positions are standard Reiki hand positions, but can be adapted and

modified. Follow your senses and instructions from the client for direct concern. Give

suggestion throughout treatment and compound effects of acupoint treatment with

suggestion.

Remember to MAINTAIN CONTACT with individual throughout treatment, moving

one hand at a time.

Always clean hands before making contact.



Acupuncture Points for Hands-on Hypnosis

Large Intestine 4: Treats head & neck pain

*DO NOT STIMULATE LI4 DURING PREGNANCY

Spleen 17: Treats chest pain

Heart 7: Treats insomnia

Stomach 36: Treats all gastrointestinal problems

Stomach 36: All Gastrointestinal Problems

Spleen 6: Regulates genitourinary & digestive tract

*DO NOT STIMULATE Sp6 DURING PREGNANCY

Stomach 38: Treats paralysis and pain in lower body

Spleen 1: Quiets the mind

Stomach 44: Eases pain in entire body

Spleen 10: Quickens the blood. Treats menstrual problems

Stomach 25: Treats stomach pain Lung 9: Treats lung conditions

Large Intestine 11: Treats large intestine & lungs Stomach 21: Treats stomach pain

Kidney 27: Treats cough & asthma

Stomach 12: Treats cough & asthma

Stomach 5: Treats lower toothache, facial pain & paralysis

Small Intestine 18: Treats upper toothache, facial pain & paralysis

Yin Tang/The Jamaican Vacation: Quiets the mind

DU 20: Treats pain & settles the emotions

Kidney 1: On the sole of foot, two inches below base

of middle toe. Treats headache, vertigo, coma, & shock

Pericardium 6: Treats nausea and chest pain

Bladder 60: Treats back and neck pain

CV 17: Treats chest pain

CV 12: Treats “heartburn” and stomach pain

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